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CITY OF EVERETT DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION / FEE: <br />q <br />COB ADDRESS j H � 3 d U,' fa <br />TENANT _ R- A - ' ! l i /� -q I� r <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR_ /AJpzY5 f jPC,r�'I C <br />ELEC. CONTRACTOR'S MAILING ADDRESS 771 �� �� - %�����v�✓��le <br />LICENSE NO. �tlloft'r' ������� EXPIRATION DATE <br />ADMINISTRATOR r <br />i 2 i�✓i /7Y1 /'7Cf Prs PH0NE N0.VALUE OF OF 'WORK (for commercia work (do not include taxes) <br />USE OF BUILDING /��� `� , C�e �l'1 C <- <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities 'je approved by the State of <br />Washington. Applicants with such jobs c.ust show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: -�— <br />SC�C <br />/,� 0 1 <br />SIGNED %L(/ �� �i�1'����- DATE <br />NOTES AND COMMENTS: <br />